Skip Navigation LinksHome > August 2012 - Volume 54 - Issue 8 > Employer-Mandated Sleep Apnea Screening and Diagnosis in Com...
Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e3182572e16
Original Articles

Employer-Mandated Sleep Apnea Screening and Diagnosis in Commercial Drivers

Berger, Mark MD, FCCP; Varvarigou, Vasileia MD; Rielly, Albert MD, MPH; Czeisler, Charles A. PhD, MD, FRCP; Malhotra, Atul MD; Kales, Stefanos N. MD, MPH, FACP, FACOEM

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Introduction: Obstructive sleep apnea (OSA) is common among commercial drivers and associated with health/safety risks, leading several trucking firms to mandate OSA screening.

Methods: A total of 19,371 commercial drivers were screened for OSA with an online questionnaire (Somni-Sage[reg]) through employer mandates. Questionnaire and polysomnography results were analyzed retrospectively.

Results: Screening categorized 5908 drivers (30%) as higher risk. To date, employers have sent 2103 higher-risk drivers for polysomnography, demonstrating that 68% of high-risk drivers tested had an apnea–hypopnea index (AHI) greater than 10 and 80% had an AHI of 5 or more. A conservative prevalence estimate for OSA (AHI > 10) was 21% among the drivers studied.

Conclusions: Online screening followed by polysomnography for high-risk drivers demonstrates as many as 21% of commercial drivers may have OSA. Mandatory screening can have a high yield among commercial drivers.

©2012The American College of Occupational and Environmental Medicine


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